Women waking up at 2-3 o’clock in the middle of the night is not necessarily due to insufficient qi and blood. Waking up often at 2-3 o’clock in the middle of the night is a manifestation of insomnia, which may be caused by insufficient qi and blood, loss of nourishment for the mind and spirit; it may also be caused by liver fire, phlegm and heat disturbing the mind and spirit. Women waking up at 2-3 in the middle of the night is generally called early waking up, which belongs to the category of “insomnia”. If it is difficult to re-enter the sleep state after waking up, resulting in shorter sleep time, it is easy to wake up in the morning with symptoms such as weakness of limbs and lack of concentration. The nature of the pathology of insomnia can be divided into deficiency and reality. Liver depression and fire (the Qi of the liver is blocked leading to the production of fire and heat), or phlegm-heat internal disturbance and restlessness of the heart and mind, are mostly real symptoms. Deficiency of the heart and spleen (weakness of the heart and spleen), insufficiency of qi and blood, or deficiency of the heart and gallbladder qi, or heart-kidney dysfunction (heart fire, kidney yin deficiency, dysfunction of the physiological functions of the heart and kidneys), water and fire do not help, the heart and spirit are not nourished, and the spirit is not at rest, which is mostly a deficiency syndrome. If waking up early is caused by deficiency of qi and blood, it can be treated with tonic herbs such as Bazhen Tang under the guidance of a professional doctor. It is recommended to go to the hospital in time to find out the cause of the disease and then prescribe the right medicine.